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    <title>复工申请平台</title>
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<body class="">

    <div class="container m-t">
        <br>
        <br>
        <h1 class="strong text-center">企业复工申请</h1>
        <br>
        <div class="col-xs-12">
            <hr style="width: 80%;">
        </div>
        <br>
        <br>
        <br>
        <div class="col-xs-12">
            <form id="signupForm" class="form-horizontal">
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">姓名</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleName" placeholder="姓名">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">身份证</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleIdCard" placeholder="身份证">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">市（州）</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleCity" placeholder="市（州）">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">县（市、区）</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleCounty" placeholder="县（市、区）">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">乡镇（办、场、区）</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleTownship" placeholder="乡镇（办、场、区）">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">社区（村）</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleVillage" placeholder="社区（村）">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">详细地址</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleDetailAdress" placeholder="详细地址">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">手机号</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleConnectPhone" placeholder="手机号">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">岗位（工种）</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleJob" placeholder="岗位（工种）">
                    </div>
                </div>
                <br>

                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">驾驶人/返岗人员</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleBackPeople" placeholder="驾驶人/返岗人员">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">车辆牌照号</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleCarLicense" placeholder="车辆牌照号">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">企业所在地县指挥部审核意见</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleCompanyAdressOp"
                            placeholder="企业所在地县指挥部审核意见">
                    </div>
                </div>
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">居留地健康证明</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleHeathyInfo" placeholder="居留地健康证明">
                    </div>
                </div>
                <br>
                <!--<div class="form-group">-->
                    <!--<label for="inputEmail3" class="col-sm-2 control-label">健康证明文件地址</label>-->
                    <!--<div class="col-sm-7 col-sm-offset-1">-->
                        <!--<input type="text" class="form-control" name="peopleLinkAdress" placeholder="健康证明文件地址">-->
                    <!--</div>-->
                <!--</div>-->
                <br>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">填报时间</label>
                    <div class="col-sm-7 col-sm-offset-1">
                        <input type="text" class="form-control" name="peopleFillTime" placeholder="填报时间">
                    </div>
                </div>
                <br>

                <div class="form-group m-t-lg">
                    <div class="col-sm-offset-3 col-sm-7">
                        <button class="btn btn-default" id="btnSubmit">提交申请</button>
                    </div>
                </div>
                <br>
                <br>
                <br>
                <br>
            </form>
        </div>


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